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Home My WebLink AboutBUSINESS PLAN_ ~ J~/ ~i'~ „~ ;, ~~ ~ ~ ~~ ~ ~~ a ~; ~ ';+ a , ;- ~ ~, a ~~ s~os UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ~ / ~Q ~~ ^ ENHANCED LEAK DETECTION ^ TANK TIGHTNESS TEST ^ LINE TESTING H 9 P 1 D ~-lR/ ARTS f '~'' TO PERFORM FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ SB-989 SECONDARY CONTAINMENT TESTING ^ Cathodic Protection Testing SITE INFORMATION FACILITY Lucky 7 #3 NAME 8 PHONE NUMBER OF CONTACT PERSON ADDRESS 726 S. Union Ave. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES ~ NO TANK# VOLUME CONTENTS 1 87 UL 2 91 UL 3 Diesel 4 Diesel TANK TESTING COMPANY NAME OF TESTING COMPANY Cal-Valley Equipment Bruce W. Hinsley 661-327-9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: A25212 DATE & TIME TEST TO BE CONDUCTED March 2, 2007 08:00 ICC #: SIGNATURE OF APPLI T ~ DATE February 8, 2007 APPROVED BY DATE g 'Z,fl FD 2095 (Rev. 09105) ;~ UNIFIED PROGRAM INSPECTION CHECKLIST;; ~'~ _._... ~... ._ _ - ~ ,.v ~..r_.....~__ ~ __.. ._ _~_~... _ _~_~ _ I _ __ .~_ _~ ~ _ __ ____ ~. ________, f SECTION- 1: Business Plan and Inventory Program B E_R.S F I ___D TIRE ~Rrer r Prevention Services 900 Truxtun Ave:, Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DA E INSPECT N TIME LAC-~~~ ~ ~GC7~ 3LdCQ ~~ ( ~~ 6 ~ Q ~i % ~_ ADDRESS PHONE NO. NO OF EM LOYEES ~12b S. U. n 1 o n ~ FACILITY CONTACT USINESS ID NUMBER ~ ~~~ 15-021- ~, See#ion 1: Business Plan and inven#ory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND , , ~ O V~ ~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE y ie9 ^ VISIBLE ADDRESS LQ7 ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITY ^ .~ VERIFICATION OF HAZ MAT TRAINING 0 wl QQ Lam' ,~ ~'~ ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES D ^ EMERGENCY PROCEDURES ADEQUATE ~, P~O ^ CONTAINERS PROPERLY LABELED ^~ (/" ~/ ~" ^ ^ HOUSEKEEPING (~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ~~tie, ~ ~ l { L~ ANY HAZARD~OU~^S W~A+STyE OTN SITE? ~ES ^ NO Q ~ ~ / ^oroVlJ EXPLAIN: c7~7 CAQL !~ev..~ '~'~ ~ ~2C~~cr.~-S ~J ~i ~~ ~G) Cl~.i._ .~. ~ ei QUESTIONS ARDING THIS INSPECTI.O~N~? PLEASE CALL US AT (661) 326-3979 /~ G ~_. Inspector (Please Print) Fire Prevention / 1s` In /Shift f Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 %~ ; ~' ~••. _ • `, INSPECTIONS B E R S F I L D BUSINESS PLAN & ,i~ rM t INVENTORY PROGRAM - ~- UNIFIED PROGRAM INSPECTION CHECKLIST BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 FACILITY NAME: L~`LK% 7 -{~a~ ~~`~ ~3 Section 2: Underground Storage Tanks Program INSPECTION DATE: 1~/ ~ ^ Routine ~ Combined ^ Joint Agency ^ Multi-Agency ^ Co taint ^ Re-Inspection Type of Tank .~ ~ ~Jr v %` ^~ h C ~ Number of Tanks Type of Monitoring ~c~ fjocT ~ Type of Piping '~ 6 c: 17 OPERATION C V - COMMENTS Proper tank data on file Proper owner /operator data on file ~ Permit fees current '~ Certification of Financial Responsibility ~~o~}-~ ~ r^ Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ^ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector:~~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services ess SiteResponsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) ems`. >s <-;~;~ ~ , ~~ ALL F~UP~J~""T~l ~~~h~l:=, I'~1+~~F:f°Ir~L. , t? ~~LUf"9E - '11:'4 ~~~t_..= y0"~, LILL~GE= 15 ;'t. I"JiL.:=, , I~EI I:jHT = :..E.. t1;3 I f~dl_'f-IE:-, 6JMTF'k = O .CIO 1 P'~t_'H1r:~ ' '',tiLUf`9E _ ".`I --- ~~-;:rte _ i I.JHTEk - O , OI~I I PJC'HE~= TEI°1F' _ X0.5 l E~=~ fi' T :3 ::~UF 1=:k ~: '-Ilrl:;>:. 1.1I-.l..~~a.= ,II`-ir~ ~:~r;L.~- TC' ',;_lI_'i li"iF: = 1 G~~ 1 ~_:i-il .- e,I;Jri"I'E'1? = LI - Il0 1 1'1~:.'f1~.;v: 1_iLLr,..l - 460'; ~:~HLt-~ 'I''r~`._' rl f.I~IF' _ ~"i_~~Ir iYil.- a N I tF11 = 51 I , 9? I hJC'HE::= x .. r .. ! L. I'•t ~i r it z 1' '$ + LUCKY 7 FOODSTORE 3 _________________________________ SiteID: 015-021-001533 + Manager MOHAMMED RAFIQ Location: 726 S UNION AVE 140 City BAKERSFIELD BusPhone: (661) 324-8516 Map 124 CommHaz Moderate Grid: 06B FacUnits: 1 AOV: CommCode: BFD STA 06 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title MOHAMMED RAFIQ / OWNER / Business Phone: (661) 324-8516x Business Phone: ( ) - x 24-Hour Phone (661) 34.3-6714x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact GARY CHAPMAN Phone: (661) 321-1028x MailAddr: 726 S UNION AVE 140 State: CA City BAKERSFIELD Zip 93307 Owner MOHAMMED RAFIQ Phone: (661) 324-8516x Address 726 S UNION AVE 140 State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG U - UST EN~'0 ~~'~ ~ ~ 2'0 06 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personalty examined and am familiar with the information submitted and believe the information is true, accur , and c to Signature Date ~~~ ~5 ~° q~ -1- 05/09/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~' .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services t, ~f~s 900 Truxtun Ave., Suite 210 sRr~ Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECT N DAT E IO NSPECTION TIME ~ ~ / J j /J ~(!7 t ADDRESS HONE NO. O OF EMPLOYEES G~ `V FACILITY CONTACT USINESS ID NUMBER 15-021- ~~~ Section 1: Business Plan and Inventory Program ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION COMMENTS V=Violation J l ^ APPROPRIATE PERMIT ON HAND ~. BUSK@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS c ^ ^ CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS h~ (~ O VERIFICATION OF QUANTITIES o~- ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL ~~ L JD , ^ /// VERIFICATION OF MSDS AVAILABILITY --- -----...----- -- ~~/ v ~ ^ VERIFICATION OF HAZ MAT TRAINING (~ ~~ "_ (~3" ^ VERIFICATION OF ABATEMENT SUPPLIES AND /PROCEDURES ~" ^ MERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED ~ ^ ~('IOUSEKEEPING - ^ FIRE PROTECTION C~.^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: Inspector (Please Print) -YES ^ NO Fire Prevention / 1" In /Shift of Site/Station # White -Prevention Sarviees Yellow - Station Copy pink - Buainesa Copy FD2049 IRtw. 02105) >`~ ~T~ ~~ CITY OF BAKERSFIELU F IRE DEPAR'T'MENT b~ OFFICE OF E;NVIRONMENI'AL SERVICES ., y~~` UNIF[ED PROGRAM INSPECTION CHECKLIST ;w ~gti,,!'~ 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 FACILITY NAME ~C~r !u °I~ /~(/t:~ INSPECTION DATE l_J~-D~- Section 2: Underground Storage 'T'anks Program ^ Routine ~ombined ^ Joint Agency ^Mulfi-Agency ^ Complaint ^ Re-inspection Type of Tank ~ I~ wA/l /~.r~7 ~t~v Number of Tanks Type of Monitoring _ Type of Piping ,DauFJ~.. w~4/( OPERATION C V COMMENTS Proper tank data on file Proper owner'operator data un file ~ Permit tees current Certification of Financial Responsibility Monitoring record adequate and current u£~~ P°~-4~L~ 7 Oti v~ 42 Maintenance records adequate and current /~ G~7/I°D~L' ~~ TO cz; a~ Failure to correct prior UST violations ~~ ~ ~ ~ 7 ~ 7 Has there been an unauthorized release? Yes /l,/ S7A~ ~.+~• No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE. CAPACITY Number oI' Tanks ~~ ~~~~ ~ ~/7cu`f OPERATION Y N COMMENTS SPCC available SPCC on file ~~ith OES Adequate secondary protection Proper tank placarding/labeling [s tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation 1'=Yes N-NO Inspector: ~~/11r9/J ~z~4~ Office of Environmental Services (661) 326-3979 ~~'hitc - 1?nv. Svcs B sines Site Responsible Party Pink - F2usiness Cary .~ - • .-~ 7'_' E~ _ . Li t'J t Ci f•1 $ri}ERSr' 1 Et_Li ~:r; . '.+:130',, J'1' J 11=.1~1 :J T n I I_it~~ F.I~1-~~ >}•.'1 -- JELL r LIIJG'I' I c, I'J'~ PJ+?RI IJ;L I fV1~+EIV'T+:~};'~,' f';=1='~„~RT T 1 : L'~ t E:~~EI.. ~: VULIJt°lE = Ir_;34 r~r,L:=~ Tls 'tlti+Ll_II"IE = 1 r,''^ C:riL:_~' :A ~ HEI~~H'1' - 311.1?1 Ild~_'tIL:~ I T ':L,~t,NEI_ _ --• - - 90%; IILI_r;~~E:= ld^'II Gr-;L= ' T!~ '+it+LUP'lE = I ."~4 t::~-il..~l HEIGHT = .-.1" 11•J~'FJI=_: 6,ltiTER = i J . ili I i hip 'l i1.:3 T 3 =; IJF' EF: tiiGLUf'9E _ -x'41 ~~~;L- IILLHGE = 4~'6il ~;;-;I. =1LIk! LIL,Lr;i_t..= 41:111'x+ ~_f7L. T 4 : REt:.I_li_t;F: Ih:jLIJI"lE _ `_~ 1 'a l G~1_:=~ LtiGE U L _ 4~_It0 _ GHL.:= _ _ _ yU:,i IJLLr,r:~.- . '~_lu'_~ t_~f;L.i_ TG altaf.tlFlE = 51 9! 4»I..;_: HE I [aHT' = 49.44 1 PJC'!iL:.: W~TEI<' = u . i_l0 I f~JC'HI,: ~~ TEP~1F' = Eu . ~ L:~E:G 1= .. rr..JLi ~ it .. x~~. B E R S F I F/RE II RTM RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 December 1, 2005 Lucky 7 726 S. Union Avenue Bakersfield, CA 93307 FINAL REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2005 of Underground Storage Tank (s) Located at the Above Stated Address Dear Valued Customer, Over the last six months this office has continued to send reminder notices regarding secondary containment testing. Code requires that all secondary containment systems must be tested 6 months post construction-and every 36 months there after. 2101 "H" Street j Senate Bi11989 became effective January 1, 2002, section 25284.1 (California Bakersfield, CA 93301 Health & Safety Code) of the new law mandates testing of secondary containment OFFICE: (661) 326-3941 components upon installation and every 36 months, thereafter, to insure that the FAX: (661) 852-2170 j systems are capable of containing releases from the primary containment until they are detected and removed. RALPH E. HLTEY, DIRECTOR PREVENTION SERVICES FlRE 3APETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 Our records indicate that your facility is due prior to December 31, 2005. Those sites that have not been tested and have not pulled a permit prior to December 31, 2005, will have their permit to operate revoked. This office does not wish to take such action, which is why we will continue to send monthly reminders. Contractors are already booked several weeks in advance. I urge you to schedule your testing date as soon as possible to avoid possible revocation of your permit to operate. Should you have any questions, please feel free to call me at (661) 326-3190. Sincerely, RALPH E. HUEY, Director of Prevention Services Steve Underwood Fire Prevention Officer SU:db ~J >tfCB fess~~ ~ ..~~aee ~~i ~,~~~~rsfr~ •. ., -+ LUCKY 7 FOODSTORE 3 SiteID: 015-021-001533 Manager MOHAMMED RAFIQ Location: 726 S UNION AVE 140 City BAKERSFIELD BusPhone: (661) 324-8516 Map 124 CommHaz Moderate Grid: 06B FacUnits: 1 AOV: CommCode: BFD STA 06 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title MOHAMMED RAFIQ / OWNER / Business Phone: (661) 324-8516x Business Phone: ( ) - x 24-Hour Phone (661) 343-6714x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact GARY CHAPMAN Phone: (661) 321-1028x MailAddr: 726 S UNION AVE 140 State: CA City BAKERSFIELD Zip 93307 Owner MOHAMMED RAFIQ Phone: (661) 324-8516x Address 726 S UNION AVE 140 State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers ~ TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG U - UST i3ased on my inquiry of those individuals responsible for obtaining the 'snformation, I certify ~~c~,~ ~ ~ ~ ,p~ L ~AA~ 1 ~+ [7 UU under penalty of law! that I have personally examined and am familiar with the information submitted and believe the information is true :~ `~t?-~~-~ ~``~ , accurate, and co plete. ~' '° ~ `E Q ~ n~r'~ ~ ~ ~~ _ 8 h w / ~ Y Signature r Date i ~ _~?'' -1- 02/02/2007 F LUCKY 7 FOODSTORE 3 SiteID: 015-021-001533 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: LUCKY 7 FOODSTORE 3 Cross Street Business Type: Org Type: Total Tanks 4 IndnRes/Trust: No PA Contact: Dsg Own/Oper BRUCE HENSLEY ICC Nbr: 1064437-UC PROPERTY OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type CORPORATION BOE UST Fee# 22-6347450020 Financ'1 Resp: STATE FUND Legal Notif Date: Phone: ( 3) - x Name: Ttl: State UST # 1998 Upg Cert#: -2- 02/02/2007 F LUCKY 7 FOODSTORE 3 SiteID: 015-021-001533 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP GASOLINE - REGULAR UNLEADED F IH DH L 6375.00 GAL Mod GASOLINE - SUPER UNLEADED F IH DH L 6375.00 GAL Mod DIESEL #2 F DH L 4500.00 GAL Low DIESEL #2 F DH L 4500.00 GAL Low -3- 02/02/2007 -4- 02/02/2007 l 1 F LUCKY 7 FOODSTORE 3 SiteID: 015-021-001533 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME GASOLINE - REGULAR UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE OF STORE CAS# 8006-61-9 Liquid TMixture ~mbient~E ~ AmbientT~E ~ER GRODNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 10000.00 GAL 6375.00 GAL 1100.00 GAL rir~~xtcLVU~ ~uriruiv~ly 1 a %Wt. RS CAS# 100.00 Gasoline No 8006619 nt~.~Htc~ t~aa~~~i~i~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME GASOLINE - SUPER UNLEADED Location within this Facility Unit W SIDE OF STORE Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 STATE TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture I Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 10000.00 GAL 6375.00 GAL 425.00 GAL tu~atucuvua 1..V1~lYV1Vr,1V 1.7 %Wt. RS CAS# 100.00 Gasoline No 8006619 L1HGHiCiJ HJ ~JP1.7.71~1~iV 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 02/02/2007 ~ 1 F LUCKY 7 FOODSTORE 3 ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME DIESEL #2 Location within this Facility Unit W SIDE OF STORE STATE TYPE PRESSURE Liquid TMixture Ambient SiteID: 015-021-001533 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest C4500~OOrGAL Daily4500100m GAL I Daily 996r00e GAL riHGHKLV U 7 lLV1~lYV1Vt;1V1 J ~Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 nta~xtcL r~~ 5~a~l~i~iv 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME DIESEL #2 Location within this Facility Unit W SIDE OF STORE STATE TYPE PRESSURE Liquid TMixture Ambient. Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE CONTAINER.TYPE Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 4500.00 GAL 4500.00 GAL 906.00 GAL L1L'iGK[CLVU.7 1.V1~lYV1VL"1V 1.7 %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No .68476302 t1EiG1~KL E~.7 JI;J.71~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -6- 02/02/2007 F LUCKY 7 FOODSTORE 3 SiteID: 015-021-001533 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/09/2006 ~ 911, 324-6551, OR HAZARDOUS WASTE 800-258-5942. IN CASE OF MONITOR ALARM, NOTIFY SUN VALLEY OIL 327-7212. SUN VALLEY OIL WILL DETERMINE ALARM STATUS AND CONTACT PROPER AGENCY. Employee Notif./Evacuation 05/09/2006 CALL 911, SHUT OFF EMERGENCY SWITCH IN STORE. LEAVE THROUGH 'FRONT DOOR TO THE NORTH, TO EMPTY PARKING LOT. r UJJ11l: 1VV 1.11. / P~VdCUd l.1U11 Emergency Medical Plan 05/09/2006 KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2667, GOLDEN EMPIRE AMBULANCE, 801 18TH ST, 327-9000 OR 325-9011, MEMORIAL HOSPITAL, 420 34TH ST, 327-1792. CALL 911 FOR THE FIRE DEPT; ASK FOR AMBULANCE SERVICE FOR OUR AREA IF ANYONE IS HURT. THE AMBULANCE WOULD THEN TAKE HURT PERSON TO KMC. -7- 02/02/2007 F LUCKY 7 FOODSTORE 3 SiteID: 015-021-001533 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 05/09/2006 THE TANKS ARE MEASURED EVERY NIGHT AND ENTERED ON THE INVENTORY RECORD SHEETS. TANKS ARE INTERNALLY LINED AND CATHODIC PROTECTION IS PROVIDED. INTERNAL TANK AND SUMP MONITOR ARE ALSO INSTALLED. MONITOR IS LOCATED BEHIND SALES COUNTER. CATHODIC MONITOR IS LOCATED IN ROOM BEHIND SALES COUNTER. OVERFILL FLOATS ARE INSTALLED IN DROP TUBES. Release Containment 05/09/2006 THE BOOT ON THE HOSE WILL NOT ALLOW GAS TO BE PUMPED UNLESS IT IS INSERTED PROPERLY. IF THERE IS A SPILL, COVER WITH SAND OR DIRT. IF THERE IS A DEFECT IN THE HOSE, IMMEDIATELY SHUT OFF HOSE AND PUT OUT OF ORDER, AND CALL SERVICEMAN TO COME AND CORRECT THE DEFECT. ALSO HAVE SERVICEMAN COME OUT ONCE A WEEK TO MAINTAIN ALL HOSES AND PUMPS. TURBINE CONTAINMENT SUMPS WILL CONTAIN ANY PIPING LEAKS AND FLOW TO SUMPS. LEAK DETECTORS WILL SOUND ALARM IN STORE. OVERSPILL BOXES ARE INSTALLED AROUND FILL PIPES. Clean Up 05/09/2006 WE USE LITTER AND PUT IN SMALL CONTAINER IN DUMPSTER. IF ALARM SOUNDS IN SUMPS, CALL SUN VALLEY OIL COMPANY 327-7212, WHO WILL THEN DETERMINE WHICH QUALIFIED CONTRACTOR WILL REMOVE LIQUID. Other Resource Activation 11/17/2000 SUN VALLEY OIL WILL CONTACT QUALIFIED CONTRACTOR TO PERFORM ANNUAL MAINTENANCE CHECKS AND/OR REPAIRS ON MONITORING EQUIPMENT 327-7212. -8- 02/02/2007 .. ,-, ~ LUCKY 7 FOODSTORE 3 SiteID: 015-021-001533 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oNc~iai nac~aiu~ Utility Shut-Offs A) GAS/PROPANE - S SIDE OF STORE B) ELECTRICAL - BEH SODA FOUNTAIN C) WATER - S SIDE OF STORE D) SPECIAL - GAS PUMPS INSIDE NW SIDE OF STORE E) LOCK BOX - NONE 12/i4/2oo6 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. 02/02/2007 NEAREST FIRE HYDRANT - NW ON UNION AVE OPPOSITE SIDE OF ST FRONT OF SCHOOL SERVICE CTR DRIVEWAY. Building Occupancy Level, -9- 02/02/2007 F LUCKY 7 FOODSTORE 3 SiteID: 015-021-001533 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/09/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: SUN VALLEY OIL PROVIDES TRAINING AND COMMUNICATION WITH LOCATION. ALL EMPLOYEES, MANAGER, AND OWNER HAVE BEEN GIVEN THIS PLAN. ANY QUESTIONS, CALL SUN VALLEY OIL COMPANY 327-7212. rays ~ Held for Future Use nciu ivi ru~uic CSC -10- 02/02/2007